COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : PROBATE COURT OF SUMMIT COUNTY, OHIO SUBPOENA JUDICIAL Plaintiff(s) -against- IN RE: : CASE NO. ____________________________ : ___________________________________ : APPLICATION FOR DISINTERMENT Decedent (R.C. 517.24) Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO Now comes Applicant GREETINGS: Name Address Telephone ________________________________________________ ________________________________________________ ________________________________________________ (__________) ______________________ and applies to this Court for an Order to allow ___________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before to be the Honorable Applicant states that: disinterred. , at the Court located at County of in room He/she ,is athe on person day ofis eighteen 20 years of age, or older, andnoon, and at any recessed , (18) , at o'clock in the 1. who is of sound mind. or adjourned date, to testify and give evidence as a witness in this action on the part of the 2. He/she _____ did assume financial responsibility for the funeral and burial expenses of the decedent. _____ Your failure to comply with this did not assume financial responsibility and will make you liable to subpoena is punishable as a contempt of court for the funeral and burial expenses of the decedent. and all damages sustained as a the party on whose behalf this subpoena was issued for a maximum penalty of $50 result of your failure to comply. 3. of the decedent. He/she is the (state the relationship) Witness, Honorable , one of the Justices of the 4. ___________________________________________________. Court in The decedent died on day of County, , 20 Certified copy of Death Certificate is attached hereto. 5. The decedent is currently interred at ________________________________________ (Attorney must sign above and type name below) Cemetery, ____________________________________________________________, and will be reinterred at __________________________________________________ Attorney(s) for Cemetery, ____________________________________________________________ _____________________________________________________________________. Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Form CV.3 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : 6. : Index No. Calendar No. The names, relationships, and addresses of decedent’s surviving spouse and all other persons entitled to inherit from decedent under R.C. 2105 if the decedent died intestate, : JUDICIAL SUBPOENA Plaintiff(s) and if the decedent had a Will, of all legatees and devisees named in Decedent’s Will, -againstand who are entitled to notice of this application, are as follows: : : Surviving Spouse: ________________________________________________ ________________________________________________ : ______________: ________________________________________________ ________________________________________________ Defendant(s) : . . . . . . . . . . . . . . . ______________: . .________________________________________________ .................. ................... ________________________________________________ ______________: ________________________________________________ THE PEOPLE OF THE STATE OF NEW ________________________________________________ YORK (If you need more lines for additional persons, please use a separate sheet of paper and attach it to this Application.) TO [NOTE: If ALL persons listed above waive their right to receive notice of the filing of this Application for Disinterment, by filing a written waiver in this Court, it will not be necessary to send GREETINGS: Certified Mail notice to them. If, however, ANY party does not waive their right, you MUST give them notice by Certified Mail, return receipt requested.] WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court 7. Decedent died _____ intestate (without a Last Will and Testament). located at County of _____ testate (with a Last Will and Testament). in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 8. Decedent died as a result of _______________________________________________ _____________________________________________________________________. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 9. Reason Disinterment is requested: __________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a ______________________________________________________________________ result of your failure to comply. _____________________________________________________________________. Witness, Honorable , Applicant prays WHEREFORE, one of the Justices of the that this Court in County, day of , 20 Application for Disinterment of ________________________________________________be granted. _____________________________________ (Attorney must sign above and type name below) Applicant AFFIDAVIT OF APPLICANT Attorney(s) for The statements, facts, and allegations in the foregoing Application for Disinterment are true as I verily believe. Date________________________________ __________________________________________ Applicant Office and P.O. Address Sworn to and subscribed in my presence by ____________________________________________________________ this _______________ day of ______________________________________. Telephone No.: Facsimile No.: E-Mail Address: ______________________________________________ Notary Public Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com